Individual
CARLY IANUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2300 EAST AVE, ROCHESTER, NY 14610-2564
(201) 919-7863
Mailing address
1730 HIGHLAND AVE, ROCHESTER, NY 14618-1112
(201) 919-7863
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
090985
NY
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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